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BLESSY SAMUEL NP
NPI 1174008916
Nurse Practitioner - Family in Far Rockaway, NY

Active since September 27, 2018PECOS Enrolled
228 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(929) 437-6161(888) 501-6628 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2020, Sep 27, 2018 (2 updates tracked since 2018).

About Blessy Samuel Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLESSY SAMUEL NP (NPI 1174008916) is an individual family provider in Far Rockaway, New York, licensed in New York (F342542-1) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174008916
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLESSY SAMUELCredential: NP
Location Address228 BEACH 20TH STFar Rockaway, NY 11691-3618
Mailing Address17 Sullivan DrJericho, NY 11753-1936 · (516) 870-9316 · Fax (718) 441-6058
Phone(929) 437-6161
Fax(888) 501-6628
Sole ProprietorYes
Enumeration DateSeptember 27, 2018
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1174008916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F342542-1
228 BEACH 20TH ST, Far Rockaway, NY 11691
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blessy Samuel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIJUAN WANG MEDICINE PLLC
Clinic/Center (Urgent Care)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (833) 424-4357
MARIO SALONGA, PT
Physical Therapist
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 471-6500
210 MJD MEDICAL, PLLC
Clinic/Center (Multi-Specialty)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (917) 847-4980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blessy Samuel's NPI number?

The NPI number for Blessy Samuel is 1174008916. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Where is Blessy Samuel located?

Blessy Samuel practices at 228 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (929) 437-6161.

What is Blessy Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blessy Samuel enrolled in Medicare?

Yes. Blessy Samuel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blessy Samuel was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.